Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sadica Wallace

Individual provider Licensed Practical Nurse · NPI 1134004120

Sadica Wallace is a Licensed Practical Nurse in Lancaster, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2025.

Licensed in
PA
In the registry since
2025

Practice location Address checks out

2141 Oregon Pike
Lancaster, PA 17602-4604
Phone: (717) 617-2708
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence PN301184 (PA)

Record details

NPI number1134004120
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 8, 2025
Last updated in NPPESAugust 8, 2025
Certification dateAugust 8, 2025
Mailing address130 Chestnut St Apt 9 Pottstown, Pa 19464, Pottstown, PA 19464

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